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目的:研究早期胃癌的临床病理特点,探讨临床早期发现、诊断和治疗早期胃癌的方法。方法:对6年间收治的32例早期胃癌的临床和病理资料进行回顾性分析。结果:胃镜检查对早期胃癌有较高的检出率,达90.6%;小胃癌多为粘膜内癌;低分化型早期胃癌较高分化型有强的侵袭性,早期胃癌术后5年生存率达100%。结论:既往有胃病史者是早期胃癌的高危人群;胃镜检查是发现并诊断早期胃癌的主要手段;病灶大小对于判断浸润深度有帮助;早期胃癌预后良好。
OBJECTIVE: To study the clinicopathological features of early gastric cancer and explore the methods of early detection, diagnosis and treatment of early gastric cancer. Methods: The clinical and pathological data of 32 cases of early gastric cancer admitted in 6 years were analyzed retrospectively. Results: Gastroscopy showed a high detection rate of 90.6% for early gastric cancer, mostly small intramucosal cancer, poorly differentiated early gastric cancer with high aggressiveness and early postoperative 5-year survival rate Up to 100%. CONCLUSIONS: Previous gastric history patients were at high risk of early gastric cancer. Gastroscopy was the main method to detect and diagnose early gastric cancer. The size of the lesion was helpful to determine the depth of invasion. The prognosis of early gastric cancer was good.